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Level 1 Musculoskeletal Procedures

Wisconsin rates for APC 5111

Level 1 Musculoskeletal Procedures

Rates data updated October 2026.

How much does Level 1 Musculoskeletal Procedures cost?

$708

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $708 for this service. Most negotiated rates run $603 to $759.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $708 · 10th to 90th $457 to $933
$200$500$1Kfacility $708

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$758.58
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$676.08
Typical High
$758.58
Quartz
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$660.69
Typical High
$1,047.13

Where Wisconsin sits

The same service costs 5.2 times more in Maine than in South Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 7th of 40

$708

ME $1,096SD $209

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.